Individual
JESSICA MABEL VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
17042 BELLFLOWER BLVD, BELLFLOWER, CA 90706-5950
(562) 991-1324
Mailing address
817 W BEVERLY BLVD STE 201, MONTEBELLO, CA 90640-4265
(562) 991-1324
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA49790
CA
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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